Ms Lori Russell, CRNA | |
90 Jackson Pike, Gallipolis, OH 45631-1560 | |
(740) 446-5238 | |
(740) 441-8058 |
Full Name | Ms Lori Russell |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 32 Years |
Location | 90 Jackson Pike, Gallipolis, Ohio |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407877111 | NPI | - | NPPES |
000000006923 | Other | ANTHEM BCBS | |
430021976 | Other | OH | RR MEDICARE |
0973264 | Other | OH | MOLINA MEDICAID # |
1407877111 | Other | NPI | |
0973264 | Medicaid | OH | |
0067463000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 212017 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Marion Pain Center, Llc | 8224166996 | 3 |
Entity Name | Marion Pain Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326360082 PECOS PAC ID: 8224166996 Enrollment ID: O20100517000892 |
Mailing Address | Practice Location Address |
---|---|
Ms Lori Russell, CRNA 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5238 | Ms Lori Russell, CRNA 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5238 |
Eugenia Kay Mccoy, CRNA, DMPNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-441-1949 Fax: 740-446-5982 | |
Stephen S. Henry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-441-8058 | |
Mr. David L. Reymond, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5238 Fax: 740-441-8058 | |
Angelia Dawn Slack, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5227 Fax: 740-441-8058 | |
Clifford E. Queen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5238 Fax: 740-441-8058 | |
Susan Kay Fox-kuhner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-8058 | |
Claudia Marie Lyon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5238 Fax: 740-441-8058 |